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Organization

EM HEARING AND SCREENING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EARNEST FABRE (PRESIDENT)
(404) 396-5560
Entity
Organization

Contact information

Practice address
2777 JEFFERSON ST STE 4, AUSTELL, GA 30168-4054
(404) 396-5560
(678) 567-2906
Mailing address
2777 JEFFERSON ST STE 4, AUSTELL, GA 30168-4054
(404) 396-5560
(678) 567-2906

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
AUD003646
NC

Other

Enumeration date
03/19/2008
Last updated
03/19/2008
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